ABC分类法提高医院药品管理系统的效果分析

Analysis of the effect of ABC classification on improving hospital drug management system

目的分析ABC分类法提高乌鲁木齐市友谊医院药品管理系统的效果。方法回顾性分析2017年1-12月乌鲁木齐市友谊医院的药物数据,通过医院管理信息系统(HIS)采用以年消耗金额排序导出数据进行分析为对照组,回顾性分析2018年1-12月乌鲁木齐市友谊医院的药物数据,通过HIS采用ABC分析法导出数据进行分析为研究组。分析采用ABC分析法管理医院药品的情况,以及ABC分析法运用前后的药物管理情况变化。结果通过对A、B、C类药品进行分析,发现921种药品合计金额12235.8万元,其中A类药品122种(13.25%),金额9779.54万元(79.93%);B类药品133种(14.44%),金额1856.10万元(15.17%);C类药品666种(72.31%),金额600.16万元(4.90%)。ABC分类结果中,A类药品中心血管系统药品24种,金额百分比最高,为28.57%。B类药品中中成药药品为29种,金额百分比23.33%。A类药物分类的口服药物52种(42.62%)、注射药物64种(52.46%)、其他药物6种(4.92%),而B类药物分类的口服药物66种(49.62%)、注射药物59种(44.36%)、其他药物8种(6.02%)。ABC分类结果中A类药品中前20种药品合计金额46073529.65元,占A类药品金额的47.11%,占总金额的37.65%。其中氯吡格雷片、阿托伐他汀钙片二种药品的金额明显较大。研究组在ABC分类法运用后的库存管理指标库存周转时间[(8.37±2.48)d]明显较对照组[(6.22±3.61)d]长(t=14.897,P<0.05),月平均库存金额[(453.54±50.24)万元]明显高于对照组的(399.63±75.38)万元(t=18.060,P<0.05),滞销率[(4.24±1.31)%]与缺货率[(8.73±3.14)%]均明显低于对照组的(5.11±0.82)%、(9.39±2.67)%(t=17.084、4.859,均P<0.05)。结论ABC分类法有助于提高医院药品管理,促进合理用药,动态管理药品,最终降低药品成本,合理利用有限的药品资源。

Objective To analyze the effect of ABC classification method on improving the drug management system of Urumqi Friendship Hospital.Methods The drug data of Urumqi Friendship Hospital from January 2017 to December 2017 were retrospectively analyzed.The in-hospital information system(HIS)was used to sort the annual consumption,and the antibacterial drugs were sorted by DDDS to analyze the data as control group.From January 2018 to December 2018,the drug data of Urumqi Friendship Hospital were retrospectively analyzed by the AIS analysis method in the hospital HIS system,which were selected as research group.The effect of ABC analysis on the management of hospital drugs was analyzed,and to compare the changes in drug management before and after the application of ABC analysis.Results Through the analysis of A,B and C drugs,the total amount of 921 drugs were found to be 127.358 million CNY,including 122 kinds of A drugs(13.25%),the amount of 97.975 million CNY(79.93%);133 kinds of B drugs(14.44%),the amount of 18.56 million CNY(15.17%);666 kinds of C drugs(72.31%),the amount of 6.0016 million CNY(4.90%).Among the ABC classification results,there were 24 kinds of cardiovascular system drugs in class A drugs,and the highest percentage was 28.57%.There were 29 kinds of Chinese herbal medicines in class B drugs,with a percentage of 23.33%.There were 52 kinds of oral drugs(42.62%),64 kinds of injections(52.46%),and 6 kinds of other drugs(4.92%),while 66 drugs(49.62%)were classified as B drugs.Species(44.36%)and 8 other drugs(6.02%).Among the ABC classification results,the total amount of the top 20 drugs in class A drugs was 46073529.65 CNY,accounting for 47.11%of the A drugs,accounting for 37.65%of the total amount.Among them,the amount of clopidogrel tablets and atorvastatin calcium tablets was significantly larger.The inventory turnover index[(8.37±2.48)d]of the inventory management index of the research group after the ABC classification method was significantly higher than that of the control group[(6.22±3.61)d](t=14.897,P<0.05),and the monthly average inventory amount[(4.5354±0.5024)million CNY]was significantly higher than that in the control group[(3.9963±0.7538)million CNY](t=18.060,P<0.05),the slow-moving rate[(4.24±1.31)%]and the stock-out rate[(8.73±3.14)%]were significantly lower than those in the control group[(5.11±0.82)%,(9.39±2.67)%](t=17.084,4.859,all P<0.05).Conclusion The ABC classification method helps to improve the hospital drug management system,can promote rational drug use,dynamically manage drugs,ultimately reduce drug costs,and rationally utilize limited drug resources.